Discovery Wellness LLC

NPI #1932578762 in Edmond, Oklahoma

Provider Information

NPI Number: 1932578762
Entity Type: Organization
Organization Name: Discovery Wellness LLC
Primary Specialty: Physician Assistant
Enumeration Date: Sep 23, 2015
Last Updated: Mar 7, 2023

Practice Location

Address: 17625 LEAD LN
City: Edmond
State: Oklahoma
ZIP Code: 73012-6959
Phone: (405) 210-1662

Authorized Official

Name: ANDREW BLAKEMAN
Title: OPERATIONS MANAGER
Phone: (405) 210-1662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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